Department of Global Health and Social Medicine, King's College London, East Wing, Strand, London WC2R2LS, UK.
Health Place. 2017 Nov;48:20-30. doi: 10.1016/j.healthplace.2017.08.009. Epub 2017 Sep 23.
China's internal rural-urban migrants experience social exclusion that may have significant mental health implications. This has historically been exacerbated by the hukou system. Echoing recent calls for interdisciplinary research on the interdependencies of urbanization and mental health, this review examines evidence of rural-urban migrants' mental health status in comparison with nonmigrants and its association with various dimensions of social exclusion. We found conflicting evidence on the mental health status of migrants in comparison with nonmigrants, but strong evidence that social exclusion is negatively associated with migrants' mental health: limited access to full labour rights and experience of social stigma, discrimination and inequity were the most significant factors. We discuss the limitations of current social epidemiological research and call for an attempt to use close-up, street-level ethnographic data on the daily experience of being a migrant in the mega-city, and describe our aim to produce a new sociological deep surveying instrument to understand migration, urban living, and mental health.
中国的农村内部流动人口经历着社会排斥,这可能对他们的心理健康产生重大影响。历史上,户籍制度加剧了这种情况。本综述回应了最近对城市化和心理健康相互依存的跨学科研究的呼吁,审查了农村流动人口与非流动人口心理健康状况的证据,并探讨了其与各种社会排斥维度的关系。我们发现,与非流动人口相比,流动人口的心理健康状况存在相互矛盾的证据,但有强有力的证据表明,社会排斥与流动人口的心理健康呈负相关:获得充分劳动权利的机会有限,以及遭受社会耻辱、歧视和不平等,这些是最重要的因素。我们讨论了当前社会流行病学研究的局限性,并呼吁尝试使用关于在特大城市中作为流动人口的日常经历的近距离、街头层面的民族志数据,并描述了我们的目标,即制定一种新的社会学深度调查工具,以了解移民、城市生活和心理健康。